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Adalimumab Injection

New York rates for HCPCS J0135

Injection, adalimumab, 20 mg

Rates data updated October 2026.

How much does Adalimumab Injection cost?

$1,479per 20 mg

Typical physician fee. In New York, October 2026.

Insurers have agreed to pay about $1,479 for each 20 mg of this drug. Most negotiated rates run $457 to $1,479.

Work out the cost of a dose

This drug is priced per 20 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$1,479

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $457 · 10th to 90th $398 to $457Professionalmedian $1,479 · 10th to 90th $490 to $1,479
$500$1Kfacility $457professional $1,479

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
CDPHP
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$954.99
Typical High
$954.99
Univera
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$457.09
Typical High
$457.09
Univera
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$457.09
Typical High
$489.78

Where New York sits

The same service costs 20.0 times more in Missouri than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 12th of 30

$1,479

MO $9,120MT $457

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.